Individual
VERNI LOGENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO183356
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG172690
OR
Other
Enumeration date
05/22/2015
Last updated
10/26/2020
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